| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,056 |
8,760 |
$4.58M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,302 |
2,011 |
$865K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,628 |
1,594 |
$740K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,293 |
1,187 |
$660K |
| D0140 |
Limited oral evaluation - problem focused |
1,071 |
1,012 |
$601K |
| D0190 |
|
810 |
678 |
$599K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
757 |
726 |
$371K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
903 |
862 |
$359K |
| D1206 |
Topical application of fluoride varnish |
635 |
611 |
$210K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
272 |
261 |
$168K |
| 0012A |
|
291 |
290 |
$151K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
305 |
293 |
$132K |
| 90480 |
|
332 |
329 |
$123K |
| 0011A |
|
199 |
198 |
$102K |
| 91307 |
|
382 |
351 |
$100K |
| 91306 |
|
345 |
298 |
$92K |
| D0120 |
Periodic oral evaluation - established patient |
202 |
202 |
$91K |
| 0002A |
|
169 |
166 |
$77K |
| 0064A |
|
352 |
306 |
$62K |
| 0001A |
|
126 |
126 |
$59K |
| D1120 |
Prophylaxis - child |
177 |
175 |
$58K |
| 91300 |
|
284 |
264 |
$56K |
| 0124A |
|
96 |
91 |
$56K |
| 0134A |
|
98 |
92 |
$55K |
| D1351 |
Sealant - per tooth |
445 |
176 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
108 |
$50K |
| 0003A |
|
108 |
107 |
$50K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
670 |
545 |
$43K |
| 0071A |
|
162 |
160 |
$38K |
| D0145 |
Oral evaluation for a patient under three years of age |
49 |
49 |
$32K |
| 90832 |
Psychotherapy, 30 minutes with patient |
59 |
45 |
$29K |
| 0072A |
|
133 |
131 |
$28K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
41 |
39 |
$26K |
| 0154A |
|
31 |
30 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
456 |
416 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
46 |
$18K |
| 90686 |
|
85 |
84 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
216 |
207 |
$16K |
| 0073A |
|
43 |
43 |
$16K |
| 91308 |
|
24 |
17 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
34 |
33 |
$15K |
| 90473 |
|
45 |
30 |
$12K |
| V2020 |
Frames, purchases |
180 |
180 |
$9K |
| D9630 |
|
44 |
40 |
$7K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
14 |
13 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
162 |
81 |
$6K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$6K |
| 90688 |
|
41 |
20 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
890 |
838 |
$5K |
| D1330 |
|
43 |
43 |
$3K |
| 92015 |
Determination of refractive state |
448 |
439 |
$2K |
| 97802 |
|
15 |
13 |
$2K |
| 80053 |
Comprehensive metabolic panel |
709 |
665 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
911 |
864 |
$863.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
15 |
$719.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
17 |
12 |
$640.00 |
| D0000 |
|
27 |
26 |
$519.00 |
| 80061 |
Lipid panel |
438 |
411 |
$295.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
579 |
545 |
$212.64 |
| 81002 |
|
242 |
233 |
$76.84 |
| 84443 |
Thyroid stimulating hormone (TSH) |
176 |
175 |
$10.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
393 |
371 |
$9.93 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
287 |
281 |
$3.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
88 |
86 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
80 |
$0.00 |
| 87807 |
|
35 |
31 |
$0.00 |
| 82043 |
|
65 |
65 |
$0.00 |
| 85018 |
|
51 |
50 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
37 |
37 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
33 |
33 |
$0.00 |
| 0081A |
|
17 |
17 |
$0.00 |
| 36416 |
|
15 |
15 |
$0.00 |